eating disorders

Question 1

clinical description of anorexia nervosa

Answer 1

• deliberate restriction of food intake
• morbid fear of gaining weight/ becoming fat
• body weight/shape strongly influences self evaulation

Question 2

Two subtypes of anorexia

Answer 2

1. restricting type (dieting/fasting)

2. Binge-eating/ purging

Question 3

Medical consequences of anorexia

Answer 3

Amenorrhea (absence of 3 menstrul cycles)
sensitivity to cold (lanugo)
heart probs
electrolyte imbalance (if purging)

Question 4

Anorexia prevalence/gender/onset

Answer 4

• less than 1%
  -10x more common in women
  onset- early teens (15-19)

Question 5

Bulimia Nervosa clinical description

Answer 5

Binge- eating more than most people in a 2 hour period
compensatory behaviours- vommiting, laxatives, exercise
1x per week on average for 3 m

Question 6

medical consequences of bulimia

Answer 6

vommiting:
- salivary gland enlargement
- eroded dental enamel
- electrolyte imbalance
- calluses on fingers/hands

Lacitive use:
-intestinal probs

Question 7

Blumia- prevelence/onset and gender

Answer 7

1-2%
10X more common in women
teens

Question 8

Binge eating disorder clinical disorder

Answer 8

Recurrent binge eating
-large amount of food (<2hrs)
-lack of control (1x week for 3 months)
NO compensatory behaviours

Question 9

Binge episodes occur with 3 or more of the following

Answer 9

• eating more rapidly than normal
• eating until uncomfortably full
• large amounts when not physically hungry
• eating alone due to embarasment
• feeling disgusted after

Question 10

binge eating prevelence, gender, onset

Answer 10

1-2%
2x more common in women
adolescence or young adulthood

Question 11

Prior to DSM 5 what were eating issues diagnosed as when not reaching all criteria of other disorders

Answer 11

EDNOS (eating disorder not otherwise specified)

Question 12

What does DSM consider eating issues that dont meet all the criteria and what are some ex

Answer 12

Unspecified
specified- Atylpical anorexia (low weight), Buemia/BED without meeting frequency, purging disorder, night eating syndrome

Question 13

Biological influences of eating disorders

Answer 13

runs in families (4-5x greater risk)
lesions in hypothalmas
starvation may be linked to endogenous opiods and the feeling may be rewarding

Question 14

social factors for eating disorders

Answer 14

• Thinness equals success (media)

- Scarlett ohara effect

Question 15

how does family influence eating disorders

Answer 15

high levels of conflict

Question 16

psychological influences (personality)

Answer 16

Retrospective–>
Perfectionism
shynesss
compliance

Personality–>
low self esteem
anxiety
elevated personality (especially negative emotions)

Question 17

CBT theory of bulima

Answer 17

low self esteem/ high negative affect
diet to feel better
food intake restricted too much
diet breaks and binge starts
compastory behaviours start

Question 18

Biological treatment of anorexia and bulima and effectiveness

Answer 18

anorexia- generally not effective

bulimia- decrease depression and purging, but high relapse

Question 19

first and second goal of anorexia treatment

Answer 19

1st- must restore normal weight

2nd- keeping the weight on

Question 20

barriers to treatment of anorexia

Answer 20

overal low incidence
lack of consensus on best treatment
variability in age of onset
high cost
complex interection of medical/psychological

Question 21

% of people who recover, have residual symptoms and chronic anorexia

Answer 21

50% recover
30% have residual symptoms
20% chronic

Question 22

Main AN findings in 2004 study

Answer 22

better treated earlier to onset

countries vary wildly in there approaches

Question 23

4 steps of family method in treatment of AN

Answer 23

1. Assesment- need for hospitalization
2. Control rationale- parents are responsible for all aspects of childs eating
3. weight gains- parents continous to control eating
4. weight maintenece- control of eating transfered to adolescent

Question 24

CBT for bulimia elements and efficacy

Answer 24

• education
• schedualed eating
• challenge dysfunctional thinking

efficacy- 50% improved sig.